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DCPZP-2008-00586
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DCPZP-2008-00586
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DCPZP-2008-00586
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Ap•Iication Number:APP-24197 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080586 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> EDWIN 8r JOANNE FARNSWORTH (608)764-8471 SAME AS OWNER (608)444-3586 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1717 N JARGO RD <br /> (City,State,Zip) (City,State,Zip) <br /> DEERFIELD,WI 53531 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION y/4 1/4 1/4 <br /> 0711-243-8000-4 COTTAGE GROVE 24 SW NE <br /> �:l•1 J4 I1 1411:4 I11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 1717 N JARGO RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME • <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New lid Addition/Alteration CENSUS CODE <br /> A-1EX 20.0 Description:REPLACING PORCH 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public gl Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT tst FLOOR TOTAL SQUARE FEET <br /> 10 600 600 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR ard FLOOR $ 25,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 95.00 <br /> 1. I,the undersigned,hereby make application for a zoning permit only for the location and the work described herein and certify to the accuracy of that <br /> information. I further certify I am the owner of the property, or a duly authorized representative,and may sign this permit application on behalf of the <br /> owner(s) of said property, and I have read and understand all of the conditions of this permit and will construct the project in compliance with <br /> those conditions. I understand that failure to comply with any provision of the permit renders it null and void and may result in an enforcement action. <br /> 2. I,the undersigned,hereby certify that: <br /> • I have made a diligent inquiry into the applicability of any official map to the applicants'land; <br /> • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employees in giving these assurances; <br /> • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or <br /> village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper <br /> permit from the appropriate village or city shall be null and void. <br /> 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zoning ordinances. This consent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATURE: OwnerlA.ent DATE: <br /> Ordinances.Any unauthorized change from the information '..,! i <br /> or plans submitted will invalidate the permit ` .tom i :' : ) '� j s 0 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st I PE TION DAT INITI//I��S <br /> ❑Yes I No 15 Aug 2008 SSA1 /Z 2/I8r ZLL <br /> Cr DATE REVIEWED INITIALS 2nd I,///4-E�TION;Df�TEt INITIfy,S, <br /> Initials: \ !/(f�J rte`/`/�'!/J[ <br /> 1. OO <br /> Conditions. PROJECT THIS REQUIRES APPROVAL BY THE DANE EXPRESS COUNTY WRITTEN Z NING APPROVAL IS ONLY FOR BY THE DANE PLAN COUNTY AS ZONING.PRESENTED.THIS ANY PERMIT MODIFICATI SHALL N BE TO NU TLL HE <br /> AND <br /> VOID IF A • •+IFICA I NS ARE MM pT OUT THE EEXXP' R APP �A}jOF D!1/417r NTgY�ZONING. <br /> INITIALS r • rr IS °$J /0,2O f � ��V L G �OO <br /> 2. SURV ADVISORY NOTE: A LOCATION SURVEY MA BE EQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-single <br />
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